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Individual

DR. DAVID ALLEN RUSK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7910 W JEFFERSON BLVD, SUITE 201, FORT WAYNE, IN 46804-4159
(260) 436-3789
(260) 436-2703
Mailing address
7910 W JEFFERSON BLVD, SUITE 201, FORT WAYNE, IN 46804-4159
(260) 436-3789
(260) 436-2703

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01042829A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200030960
IN
Enumeration date
06/30/2005
Last updated
04/22/2008
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